# FOOT CENTERS OF NC, PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083854517
- **Authorized official:** KAREN DEBORAH DE JESUS (MANAGEMENT)
- **Authorized official phone:** (760) 200-8588

## Contact information

- **Practice address:** 5921 W FRIENDLY AVE STE D, GREENSBORO, NC 27410-3268
- **Practice address phone:** (336) 218-8490
- **Practice address fax:** (336) 768-3078
- **Mailing address:** 76764 LANCELOT CT, PALM DESERT, CA 92211-7103
- **Mailing address phone:** (760) 200-8588
- **Mailing address fax:** (760) 345-3609

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 409 | NC | Yes |

## Other

- **Enumeration date:** 02/24/2009
- **Last updated:** 02/19/2019